Pigment deposition of cosmetic contact lenses on the cornea after intense pulsed-light treatment.

Hong S, Lee JR, Lim T - Korean J Ophthalmol (2010)

Bottom Line:
A 30-year-old female visited our outpatient clinic with ocular pain and epiphora in both eyes; these symptoms developed soon after she had undergone facial IPL treatment.At presentation, her uncorrected visual acuity was 2/20 in both eyes, and the slit-lamp examination revealed deposition of the color pigment of the cosmetic contact lens onto the corneal epithelium.We scraped the corneal epithelium along with the deposited pigments using a no. 15 blade; seven days after the procedure, the corneal epithelium had healed without any complications.

ABSTRACTWe report a case of corneal deposition of pigments from cosmetic contact lenses after intense pulsed-light (IPL) therapy. A 30-year-old female visited our outpatient clinic with ocular pain and epiphora in both eyes; these symptoms developed soon after she had undergone facial IPL treatment. She was wearing cosmetic contact lenses throughout the IPL procedure. At presentation, her uncorrected visual acuity was 2/20 in both eyes, and the slit-lamp examination revealed deposition of the color pigment of the cosmetic contact lens onto the corneal epithelium. We scraped the corneal epithelium along with the deposited pigments using a no. 15 blade; seven days after the procedure, the corneal epithelium had healed without any complications. This case highlights the importance of considering the possibility of ocular complications during IPL treatment, particularly in individuals using contact lenses. To prevent ocular damage, IPL procedures should be performed only after removing the lenses and applying eyeshields.

Figure 3: Slit-lamp photographs taken on the 7th day after treatment (A,C, right eye; B,D, left eye). (A,B) Corneal epithelial defects and erosions were completely healed. The cornea was clear, and the anterior chamber was clear. (C,D) These are the same photographs after fluorescein staining. An intact epithelium was observed.

Mentions:
Seven days after the initial treatment, the best-corrected visual acuity of both eyes was 20/25, which was determined using a Snellen's chart. Slit-lamp examination showed that the corneal epithelial defects and corneal erosions had healed without any complications (Fig. 3). Therefore, since considerable improvement was observed, the topical medications were discontinued.

Figure 3: Slit-lamp photographs taken on the 7th day after treatment (A,C, right eye; B,D, left eye). (A,B) Corneal epithelial defects and erosions were completely healed. The cornea was clear, and the anterior chamber was clear. (C,D) These are the same photographs after fluorescein staining. An intact epithelium was observed.

Mentions:
Seven days after the initial treatment, the best-corrected visual acuity of both eyes was 20/25, which was determined using a Snellen's chart. Slit-lamp examination showed that the corneal epithelial defects and corneal erosions had healed without any complications (Fig. 3). Therefore, since considerable improvement was observed, the topical medications were discontinued.

Bottom Line:
A 30-year-old female visited our outpatient clinic with ocular pain and epiphora in both eyes; these symptoms developed soon after she had undergone facial IPL treatment.At presentation, her uncorrected visual acuity was 2/20 in both eyes, and the slit-lamp examination revealed deposition of the color pigment of the cosmetic contact lens onto the corneal epithelium.We scraped the corneal epithelium along with the deposited pigments using a no. 15 blade; seven days after the procedure, the corneal epithelium had healed without any complications.

ABSTRACTWe report a case of corneal deposition of pigments from cosmetic contact lenses after intense pulsed-light (IPL) therapy. A 30-year-old female visited our outpatient clinic with ocular pain and epiphora in both eyes; these symptoms developed soon after she had undergone facial IPL treatment. She was wearing cosmetic contact lenses throughout the IPL procedure. At presentation, her uncorrected visual acuity was 2/20 in both eyes, and the slit-lamp examination revealed deposition of the color pigment of the cosmetic contact lens onto the corneal epithelium. We scraped the corneal epithelium along with the deposited pigments using a no. 15 blade; seven days after the procedure, the corneal epithelium had healed without any complications. This case highlights the importance of considering the possibility of ocular complications during IPL treatment, particularly in individuals using contact lenses. To prevent ocular damage, IPL procedures should be performed only after removing the lenses and applying eyeshields.